Robotic Cystgastrostomy for Pancreatic Pseudocyst

Erica R Podolsky, MD, Ari D Brooks, MD, Andres E Castellanos, MD. Drexel University, College of Medicine, Department of Surgery


 We present a case of robotic cystgastrostomy and cholecystectomy for pancreatic pseudocyst.  A 36 year old female presented to the outpatient clinic with complaints of abdominal pain, nausea, and anorexia with previously diagnosed pancreatic pseudocyst and cholelithiasis.  The original diagnosis was made 3 months prior.  She underwent computed tomography of the abdomen showing a large, mature pseudocyst with compression of the gastric body.

She was taken to the operating room for robotic cystgastrostomy and cholecystectomy.  An anterior gastrotomy was made.  After ultrasound confirmation, the posterior wall of the stomach was opened in to the pseudocyst.  A biopsy of the cyst wall was performed.  The cyst and posterior wall of the stomach were sutured together followed by closure of the anterior gastrotomy.  A cholecystectomy was then performed.  The post operative course was uncomplicated.  

This is the first reported case of robotic cystgastrostomy with cholecystectomy.  The robot provided enhanced articulation and a three dimentional view.  This afforded better angulation for gastrostomy and suturing in the foregut.  Additionally, this allowed for cholecystectomy without the need for additional trocars.  

Session Number: VidTV3 – Video Channel Rotation Day 3
Program Number: V138

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